Michael Roth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Holton, Kansas. His current practice location is
1110 Columbine Dr, Holton, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 364-2116.
Michael Roth is licensed to practice in Kansas (license number 37703) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447355920.
Provider's Profile
| Full Name | Michael Roth |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1110 Columbine Dr, Holton, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447355920
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4789636713
- Enrollment ID: I20230706002371
Medical Identifiers
Medical identifiers for Michael Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447355920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 37703 (Kansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Roth allows following entities to bill medicare on his behalf.
| Entity Name | Novamed Surgery Center Of Denver Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639447154
PECOS PAC ID: 8022059823
Enrollment ID: O20120402000322 |
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| Entity Name | Optumcare Colorado Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407252828
PECOS PAC ID: 2769706431
Enrollment ID: O20150129000413 |
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| Entity Name | Cpr Anesthesia Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326436353
PECOS PAC ID: 7416272927
Enrollment ID: O20150204000699 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Roth is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Michael Roth, CRNA
14525 326th Rd,
Whiting, KS 66552-9510
Ph: (785) 364-2116 | Michael Roth, CRNA
1110 Columbine Dr,
Holton, KS 66436-8824
Ph: (785) 364-2116 |
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